Healthcare Provider Details

I. General information

NPI: 1598371239
Provider Name (Legal Business Name): HEALTHYME PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 WESLEY ST STE 8
JOHNSON CITY TN
37601-1741
US

IV. Provider business mailing address

225 RANGEWOOD RD
PINEY FLATS TN
37686-4530
US

V. Phone/Fax

Practice location:
  • Phone: 423-218-2198
  • Fax:
Mailing address:
  • Phone: 423-444-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TROY EUGENE SYBERT
Title or Position: PHYSICIAN/CEO
Credential: MD
Phone: 423-444-2200